mental health awareness essay reflection

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Mental Health Essay

Introduction

Mental health, often overshadowed by its physical counterpart, is an intricate and essential aspect of human existence. It envelops our emotions, psychological state, and social well-being, shaping our thoughts, behaviors, and interactions. With the complexities of modern life—constant connectivity, societal pressures, personal expectations, and the frenzied pace of technological advancements—mental well-being has become increasingly paramount. Historically, conversations around this topic have been hushed, shrouded in stigma and misunderstanding. However, as the curtains of misconception slowly lift, we find ourselves in an era where discussions about mental health are not only welcomed but are also seen as vital. Recognizing and addressing the nuances of our mental state is not merely about managing disorders; it's about understanding the essence of who we are, how we process the world around us, and how we navigate the myriad challenges thrown our way. This essay aims to delve deep into the realm of mental health, shedding light on its importance, the potential consequences of neglect, and the spectrum of mental disorders that many face in silence.

Importance of Mental Health

Mental health plays a pivotal role in determining how individuals think, feel, and act. It influences our decision-making processes, stress management techniques, interpersonal relationships, and even our physical health. A well-tuned mental state boosts productivity, creativity, and the intrinsic sense of self-worth, laying the groundwork for a fulfilling life.

Negative Impact of Mental Health

Neglecting mental health, on the other hand, can lead to severe consequences. Reduced productivity, strained relationships, substance abuse, physical health issues like heart diseases, and even reduced life expectancy are just some of the repercussions of poor mental health. It not only affects the individual in question but also has a ripple effect on their community, workplace, and family.

Mental Disorders: Types and Prevalence

Mental disorders are varied and can range from anxiety and mood disorders like depression and bipolar disorder to more severe conditions such as schizophrenia.

• Depression: Characterized by persistent sadness, lack of interest in activities, and fatigue.
• Anxiety Disorders: Encompass conditions like generalized anxiety disorder, panic attacks, and specific phobias.
• Schizophrenia: A complex disorder affecting a person's ability to think, feel, and behave clearly.

The prevalence of these disorders has been on the rise, underscoring the need for comprehensive mental health initiatives and awareness campaigns.

Understanding Mental Health and Its Importance

Mental health is not merely the absence of disorders but encompasses emotional, psychological, and social well-being. Recognizing the signs of deteriorating mental health, like prolonged sadness, extreme mood fluctuations, or social withdrawal, is crucial. Understanding stems from awareness and education. Societal stigmas surrounding mental health have often deterred individuals from seeking help. Breaking these barriers, fostering open conversations, and ensuring access to mental health care are imperative steps.

Conclusion: Mental Health

Mental health, undeniably, is as significant as physical health, if not more. In an era where the stressors are myriad, from societal pressures to personal challenges, mental resilience and well-being are essential. Investing time and resources into mental health initiatives, and more importantly, nurturing a society that understands, respects, and prioritizes mental health is the need of the hour.

• World Leaders: Several influential personalities, from celebrities to sports stars, have openly discussed their mental health challenges, shedding light on the universality of these issues and the importance of addressing them.
• Workplaces: Progressive organizations are now incorporating mental health programs, recognizing the tangible benefits of a mentally healthy workforce, from increased productivity to enhanced creativity.
• Educational Institutions: Schools and colleges, witnessing the effects of stress and other mental health issues on students, are increasingly integrating counseling services and mental health education in their curriculum.

In weaving through the intricate tapestry of mental health, it becomes evident that it's an area that requires collective attention, understanding, and action.

  Short Essay about Mental Health

Mental health, an integral facet of human well-being, shapes our emotions, decisions, and daily interactions. Just as one would care for a sprained ankle or a fever, our minds too require attention and nurture. In today's bustling world, mental well-being is often put on the back burner, overshadowed by the immediate demands of life. Yet, its impact is pervasive, influencing our productivity, relationships, and overall quality of life.

Sadly, mental health issues have long been stigmatized, seen as a sign of weakness or dismissed as mere mood swings. However, they are as real and significant as any physical ailment. From anxiety to depression, these disorders have touched countless lives, often in silence due to societal taboos.

But change is on the horizon. As awareness grows, conversations are shifting from hushed whispers to open discussions, fostering understanding and support. Institutions, workplaces, and communities are increasingly acknowledging the importance of mental health, implementing programs, and offering resources.

In conclusion, mental health is not a peripheral concern but a central one, crucial to our holistic well-being. It's high time we prioritize it, eliminating stigma and fostering an environment where everyone feels supported in their mental health journey.

Frequently Asked Questions

• What is the primary focus of a mental health essay?

Answer: The primary focus of a mental health essay is to delve into the intricacies of mental well-being, its significance in our daily lives, the various challenges people face, and the broader societal implications. It aims to shed light on both the psychological and emotional aspects of mental health, often emphasizing the importance of understanding, empathy, and proactive care.

• How can writing an essay on mental health help raise awareness about its importance?

Answer: Writing an essay on mental health can effectively articulate the nuances and complexities of the topic, making it more accessible to a wider audience. By presenting facts, personal anecdotes, and research, the essay can demystify misconceptions, highlight the prevalence of mental health issues, and underscore the need for destigmatizing discussions around it. An impactful essay can ignite conversations, inspire action, and contribute to a more informed and empathetic society.

• What are some common topics covered in a mental health essay?

Answer: Common topics in a mental health essay might include the definition and importance of mental health, the connection between mental and physical well-being, various mental disorders and their symptoms, societal stigmas and misconceptions, the impact of modern life on mental health, and the significance of therapy and counseling. It may also delve into personal experiences, case studies, and the broader societal implications of neglecting mental health.

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A Reflection on Mental Health Awareness and Overcoming Stigma

This essay reflects on the importance of mental health awareness and the ongoing battle against stigma. It will discuss the societal misconceptions surrounding mental health issues, the impact of stigma on individuals seeking help, and the role of awareness campaigns in changing public perception. Personal stories and statistical data will be used to illustrate the challenges faced by those with mental health issues and the importance of creating an empathetic, informed society. The goal is to advocate for greater understanding and acceptance, emphasizing the need for open conversations about mental health. On PapersOwl, there’s also a selection of free essay templates associated with Disease.

How it works

Mental health issues or disorders, whichever you prefer to call them, for the most part, have always been a negative little secret in society. This stigma is due to the extreme cases you hear about on the news, the over-dramatization on television, the lack of public knowledge, and the fear that was instilled in people regarding mental illness hundreds of years ago.

• 1.1 Challenging Stigmas Through Education
• 1.2 Promoting Positive Change through Education

Historical Stigmatization of Mental Illness

These mental illnesses have been surrounded by negative stigmas going back as far as the 5th century B.

C. People then were treated like outcasts, criminals, and less than human. People were and are still labeled as weird, crazy, nut jobs, and psycho, and that’s naming a few of the better names. I believe that there is a positive side to mental disorders. You must be willing to embrace the illness and be open to the positive.

Challenging Stigmas Through Education

It has been suggested that some people with mental illnesses may be more creative; not saying that you need to have a mental illness to be creative.

For example, Ludwig Van Beethoven suffered from bipolar disorder, Charles Darwin suffered from obsessive-compulsive disorder, and Thomas Edison suffered from social anxiety disorder. Stigma is a quality or trait that someone possesses but another person or group does not like or agree with. I think in this day and age, and there is a stigma about everything and anything; we are so concerned about letting everyone know about how things or people make us feel we forget to stop and think about how it makes the people we are talking about feel.

I feel the stigmas about mental illness and every other thing people do not like could be curbed at least a little if we educate ourselves with credible information. Take a moment to learn before we speak, stop believing everything we hear on television, and put in the effort to understand. Public attitudes towards mental illnesses could be changed with proper education and information.

Promoting Positive Change through Education

In order to make the education process happen, we first must be open to change and willing to accept new information. I believe if this were to happen, so many people would be able to quit living in the dark and seek treatment for their illnesses. We need to bring not just mental illness light but other issues with huge stigmas, such as cancer, STDs, HIV/AIDS, and same-sex relationships/marriages, to name a few, to the light as well. We need, no, we must educate ourselves.

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Mental Health Awareness Week and a Reflection

What is mental health?

Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices.  Mental health is important at every stage of life, from childhood and adolescence through adulthood and beyond.

Taking cognisance of the above definition of mental health I thought as part of mental health awareness week I would share one of my experiences of mental health, the effect it had on my life and my family and how this experience of 40-50 years ago has impacted on me and how I think:

My father joined the 2nd Battalion of the Suffolk Regiment in 1930 as a 17 year old.  He was posted to India in 1932 and pretty much spent the next 13 years there.  In September 1939: On the outbreak of war the Battalion was in India and at Mhow. In November 1939: It moved up North Western Frontier to the Razmak. For three years they were engaged against the tribesmen in the Tochi Valley and in internal security. Then in October 1943: The Battalion joined 123rd Indian Infantry Brigade and took part in the Burma campaign including the Arakan and Imphal.  During this time my father was involved in numerous engagements, saw and experienced the most horrendous and awful sides of humanity, was wounded and lived through some of the most vicious close quarter combat seen in any wartime engagement.  He came home after the war and started a family and then struggled with his mental health for the next 40 years, until he died.  We can talk openly about ptsd now but back then it was not recognised, nor discussed.  My father was a war veteran, a man’s man and even though he had all the symptoms of post-traumatic stress disorder including: flashbacks, nightmares, feeling very anxious and difficulty sleeping, he would not and could not get any help in dealing with it.  He was ashamed to discuss this and the stigma attached to mental health wellbeing was such that he could not face talking to anyone about it.  This affected his health, his wellbeing, his family, his work and all aspects of his life.  His family didn’t speak much about it for the reasons I have posited but also because no one else spoke about mental health and if they did it was in the most negative of terms.  It took me a long time to realise that it would have helped my father, my family and my community to have been able to talk and help.  It took me a lifetime to realise that it was “okay not to be okay” and it took me a long time to realise that not all the things that need “fixing” are visible.  I think back to the fact that my father was not the only veteran in our village, that other people in our community had also suffered traumatic events and how hard it must have been for them all to live “normally”!

This experience has stayed with me and helped shape me which is why I am so proud and driven by the team of people I work with at includem.  We realised that: given the work we do and the challenges we engage with, our people and the people we work with would sometimes need help with their health and wellbeing.  As such we had 10% of our workforce trained as mental Health Fist Aiders, which given what happened last March, has proven to be such a blessing.  For everyone in our organisation this team provides a non-judgemental safe space to talk, which is not always easy, but is so vital.  It also provides a support that is empathetic rather than sympathetic which for anyone who has experienced mental health wellbeing issues is so necessary.  It has helped us take notice of ourselves and colleagues, connect to people within and outwith our organisation and perhaps more importantly it has kept us learning as an organisation, as a community, as a family and as individuals.

As an organisation that provides relationship-based support at its core, we understand for our families and communities that mental health and wellbeing is important.  I wish my father had had the opportunity to get help.  I wish the families in the community I grew up in had that opportunity and I hope that we afford that support to our friends, colleagues, families and community that they need, when they need it and for as long as they need it.

Finally, There is no single cause for mental illness. A number of factors can contribute to risk for mental illness but what is important is our response, our compassion, our understanding and love.

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The Importance of Self-Reflection: How Looking Inward Can Improve Your Mental Health

Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.

Dr. Sabrina Romanoff, PsyD, is a licensed clinical psychologist and a professor at Yeshiva University’s clinical psychology doctoral program.

Sunwoo Jung / Getty Images

Why Is Self-Reflection So Important?

When self-reflection becomes unhealthy, how to practice self-reflection, what to do if self-reflection makes you uncomfortable, incorporating self-reflection into your routine.

How well do you know yourself? Do you think about why you do the things you do? Self-reflection is a skill that can help you understand yourself better.

Self-reflection involves being present with yourself and intentionally focusing your attention inward to examine your thoughts, feelings, actions, and motivations, says Angeleena Francis , LMHC, executive director for AMFM Healthcare.

Active self-reflection can help grow your understanding of who you are , what values you believe in, and why you think and act the way you do, says Kristin Wilson , MA, LPC, CCTP, RYT, chief experience officer for Newport Healthcare.

This article explores the benefits and importance of self-reflection, as well as some strategies to help you practice it and incorporate it into your daily life. We also discuss when self-reflection can become unhealthy and suggest some coping strategies.

Self-reflection is important because it helps you form a self-concept and contributes toward self-development.

Builds Your Self-Concept

Self-reflection is critical because it contributes to your self-concept, which is an important part of your identity.

Your self-concept includes your thoughts about your traits, abilities, beliefs, values, roles, and relationships. It plays an influential role in your mood, judgment, and behavioral patterns.

Reflecting inward allows you to know yourself and continue to get to know yourself as you change and develop as a person, says Francis. It helps you understand and strengthen your self-concept as you evolve with time.

Enables Self-Development

Self-reflection also plays a key role in self-development. “It is a required skill for personal growth ,” says Wilson.

Being able to evaluate your strengths and weaknesses, or what you did right or wrong, can help you identify areas for growth and improvement, so you can work on them.

For instance, say you gave a presentation at school or work that didn’t go well, despite putting in a lot of work on the project. Spending a little time on self-reflection can help you understand that even though you spent a lot of time working on the project and creating the presentation materials, you didn’t practice giving the presentation. Realizing the problem can help you correct it. So, the next time you have to give a presentation, you can practice it on your colleagues or loved ones first.

Or, say you’ve just broken up with your partner. While it’s easy to blame them for everything that went wrong, self-reflection can help you understand what behaviors of yours contributed to the split. Being mindful of these behaviors can be helpful in other relationships.

Without self-reflection, you would continue to do what you’ve always done and as a result, you may continue to face the same problems you’ve always faced.

Benefits of Self-Reflection

These are some of the benefits of self-reflection, according to the experts:

• Increased self-awareness: Spending time in self-reflection can help build greater self-awareness , says Wilson. Self-awareness is a key component of emotional intelligence. It helps you recognize and understand your own emotions, as well as the impact of your emotions on your thoughts and behaviors.
• Greater sense of control: Self-reflection involves practicing mindfulness and being present with yourself at the moment. This can help you feel more grounded and in control of yourself, says Francis.
• Improved communication skills: Self-reflection can help you improve your communication skills, which can benefit your relationships. Understanding what you’re feeling can help you express yourself clearly, honestly, and empathetically.
• Deeper alignment with core values: Self-reflection can help you understand what you believe in and why. This can help ensure that your words and actions are more aligned with your core values, Wilson explains. It can also help reduce cognitive dissonance , which is the discomfort you may experience when your behavior doesn’t align with your values, says Francis.
• Better decision-making skills: Self-reflection can help you make better decisions for yourself, says Wilson. Understanding yourself better can help you evaluate all your options and how they will impact you with more clarity. This can help you make sound decisions that you’re more comfortable with, says Francis.
• Greater accountability: Self-reflection can help you hold yourself accountable to yourself, says Francis. It can help you evaluate your actions and recognize personal responsibility. It can also help you hold yourself accountable for the goals you’re working toward.

Self-reflection is a healthy practice that is important for mental well-being. However, it can become harmful if it turns into rumination, self-criticism, self-judgment, negative self-talk , and comparison to others, says Wilson.

Here’s what that could look like:

• Rumination: Experiencing excessive and repetitive stressful or negative thoughts. Rumination is often obsessive and interferes with other types of mental activity.
• Self-judgment: Constantly judging yourself and often finding yourself lacking. 
• Negative self-talk: Allowing the voice inside your head to discourage you from doing things you want to do. Negative self-talk is often self-defeating.
• Self-criticism: Constantly criticizing your actions and decisions.
• Comparison: Endlessly comparing yourself to others and feeling inferior.

Kristin Wilson, LPC, CCTP

Looking inward may activate your inner critic, but true self-reflection comes from a place of neutrality and non-judgment.

When anxious thoughts and feelings come up in self-reflection, Wilson says it’s important to practice self-compassion and redirect your focus to actionable insights that can propel your life forward. “We all have faults and room for improvement. Reflect on the behaviors or actions you want to change and take steps to do so.”

It can help to think of what you would say to a friend in a similar situation. For instance, if your friend said they were worried about the status of their job after they gave a presentation that didn’t go well, you would probably be kind to them, tell them not to worry, and to focus on improving their presentation skills in the future. Apply the same compassion to yourself and focus on what you can control.

If you are unable to calm your mind of racing or negative thoughts, Francis recommends seeking support from a trusted person in your life or a mental health professional. “Patterns of negative self-talk, self-doubt , or criticism should be addressed through professional support, as negative cognitions of oneself can lead to symptoms of depression if not resolved.”

Wilson suggests some strategies that can help you practice self-reflection:

• Ask yourself open-ended questions: Start off by asking yourself open-ended questions that will prompt self-reflection, such as: “Am I doing what makes me happy?” “Are there things I’d like to improve about myself?” or “What could I have done differently today?” “Am I taking anything or anyone for granted?” Notice what thoughts and feelings arise within you for each question and then begin to think about why. Be curious about yourself and be open to whatever comes up.
• Keep a journal: Journaling your thoughts and responses to these questions is an excellent vehicle for self-expression. It can be helpful to look back at your responses, read how you handled things in the past, assess the outcome, and look for where you might make changes in the future.
• Try meditation: Meditation can also be a powerful tool for self-reflection and personal growth. Even if it’s only for five minutes, practice sitting in silence and paying attention to what comes up for you. Notice which thoughts are fleeting and which come up more often.
• Process major events and emotions: When something happens in your life that makes you feel especially good or bad, take the time to reflect on what occurred, how it made you feel, and either how you can get to that feeling again or what you might do differently the next time. Writing down your thoughts in a journal can help.
• Make a self-reflection board: Create a self-reflection board of positive attributes that you add to regularly. Celebrate your authentic self and the ways you stay true to who you are. Having a visual representation of self-reflection can be motivating.

You may avoid self-reflection if it brings up difficult emotions and makes you feel uncomfortable, says Francis. She recommends preparing yourself to get comfortable with the uncomfortable before you start.

Think of your time in self-reflection as a safe space within yourself. “Avoid judging yourself while you explore your inner thoughts, feelings, and motives of behavior,” says Francis. Simply notice what comes up and accept it. Instead of focusing on fears, worries, or regrets, try to look for areas of growth and improvement.

“Practice neutrality and self-compassion so that self-reflection is a positive experience that you will want to do regularly,” says Wilson.

Francis suggests some strategies that can help you incorporate self-reflection into your daily routine:

• Dedicate time to it: it’s important to dedicate time to self-reflection and build it into your routine. Find a slot that works for your schedule—it could be five minutes each morning while drinking coffee or 30 minutes sitting outside in nature once per week.
• Pick a quiet spot: It can be hard to focus inward if your environment is busy or chaotic. Choose a calm and quiet space that is free of distractions so you can hear your own thoughts.
• Pay attention to your senses: Pay attention to your senses. Sensory input is an important component of self-awareness.

Nowak A, Vallacher RR, Bartkowski W, Olson L. Integration and expression: The complementary functions of self-reflection . J Pers . 2022;10.1111/jopy.12730. doi:10.1111/jopy.12730

American Psychological Association. Self-concept .

Dishon N, Oldmeadow JA, Critchley C, Kaufman J. The effect of trait self-awareness, self-reflection, and perceptions of choice meaningfulness on indicators of social identity within a decision-making context . Front Psychol . 2017;8:2034. doi:10.3389/fpsyg.2017.02034

Drigas AS, Papoutsi C. A new layered model on emotional intelligence . Behav Sci (Basel) . 2018;8(5):45. doi:10.3390/bs8050045

American Psychological Association. Rumination .

By Sanjana Gupta Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.

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Exploring Mental Health Awareness: A Study on Knowledge and Perceptions of Mental Health Disorders among Residents of Matsafeni Village, Mbombela, Mpumalanga Province

Eseldah nkhensani mboweni.

1 Department of Public Health, University of Limpopo, Mankweng 0727, South Africa; az.ca.lu.akayek@323504002

Mabitsela Hezekiel Mphasha

2 Department of Human Nutrition and Dietetics, University of Limpopo, Mankweng 0727, South Africa

Linda Skaal

3 Department of Public Health, Sefako Makgatho University, Ga-Rankuwa 0204, South Africa; moc.liamg@156laaks

Associated Data

The insights presented in this study are derived from data gathered from participants in Matsafeni Village, located in Mbombela, Mpumalanga Province. Therefore, the data supporting the conclusions of this study is not publicly available.

The global rise in mental health disorders has significant social, economic, and physical impacts. Despite advancements in support, cultural beliefs attributing mental illnesses to spiritual causes persist, fostering discrimination and stigmatization. The study aims to explore the understanding and perceptions of mental health in Matsafeni Village, acknowledging the complexity of mental health issues. A qualitative method and a descriptive exploratory design were employed, enabling the researcher to describe, examine, and explore the knowledge and perceptions regarding mental health. Data collection was conducted through unstructured, open-ended interviews, with 15 participants selected through convenience sampling. The data were analyzed through thematic analysis. Measures of rigor were ensured through credibility, transferability, confirmability, and dependability. Participants demonstrated knowledge of mental health disorders, recognizing disruptions in thought patterns and diverse symptoms. They highlighted key signs and behaviors, emphasizing the need for spotting indicators such as untidiness. Perceptions of the causes of mental illness varied, including witchcraft and genetics. Participants unanimously advocated for seeking help from traditional healers, medical facilities, and therapies. Community members shared their views of mental health, covering their understanding, recognition of signs, personal interactions, and observations of behaviors in individuals with mental health conditions. Reported symptoms align with existing research, emphasizing the complexity of managing safety concerns in severe mental illnesses. The study highlights the need for community education to reduce stigma, considering cultural factors in mental health perceptions. Recommendations include early interventions, enhanced mental health services, and collaboration between western and traditional approaches for a holistic and culturally sensitive approach to mental health.

1. Background

Mental health disorders pose a critical global public health concern, affecting individuals and communities worldwide [ 1 ]. The prevalence of anxiety and depressive disorders has risen, impacting one in eight people globally in 2019 [ 2 ]. Alarming statistics reveal that only one in three individuals facing depression receives adequate care, emphasizing the urgent need for enhanced global mental health support [ 3 ]. In Africa, mental health problems contribute to 19% of disabilities, affecting one in four Africans, leading to substantial productivity loss. The prevalence of depression in Africa reached 116.29 million in 2019, with South Africa bearing a considerable burden. In low- and middle-income countries like South Africa, factors such as conflict, trauma, hunger, poverty, limited access to health care, and social inequality contribute to the high prevalence of mental health disorders [ 4 ]. Despite the significant impact of mental disorders, these countries allocate less than 3% of their health budgets to mental health care, emphasizing the critical need for increased investment and resources in mental health initiatives [ 5 ].

South Africa specifically faces a significant mental health challenge, with over 12 million people grappling with mental health disorders, and a concerning 75% of them remain untreated, revealing a substantial treatment gap [ 6 ]. The 12-month prevalence estimate for common mental disorders in South Africa is 16.5%, affecting nearly one-third of the population during their lifetime. Anxiety disorders top the list as the most prevalent class of mental disorders in South Africa, affecting 15.8% of the population, followed by substance use disorders at 13.3% and mood disorders at 9.8% [ 4 ]. Shockingly, 25.7% of South Africans are likely to be depressed, with more than a quarter reporting moderate to severe symptoms of depression [ 7 , 8 ]. Although there is no clear indication of the prevalence of mental health disorders in the Mpumalanga province, where Matsafeni village is located, the province stands out with one of the highest rates of mental health disorders within South Africa [ 9 ].

Understanding mental health involves recognizing diverse psychological and psychiatric conditions that impact an individual’s well-being [ 10 ]. Different communities interpret mental health disorders in varied ways, influenced by their knowledge, beliefs, and perspectives [ 11 ]. Informed individuals recognize the unique manifestations of mental health disorders, allowing them to identify potential concerns in themselves or others [ 12 ]. Strong mental health literacy empowers individuals to comprehend the prevalence and impact of mental health disorders, promoting awareness and addressing the issue within society [ 13 ]. Well-informed individuals are knowledgeable about evidence-based treatments, including psychotherapy, medication, and lifestyle adjustments [ 14 ]. They are also familiar with self-help techniques, stress management, and coping mechanisms for maintaining optimal mental health. Despite progress in mental healthcare in South Africa, there remains a significant lack of awareness among individuals with mental health conditions regarding available treatment options and how to access necessary care [ 15 ]. This study aims to assess the knowledge of mental health disorders within a targeted population, intending to implement mental health literacy interventions. These interventions seek to equip individuals with the knowledge and skills needed to effectively address mental health concerns and contribute to a healthier society. Mental health literacy involves recognizing mental health disorders as medical conditions and reducing the stigma and discrimination associated with mental illness. The impact of mental health education and awareness programs extends beyond individuals to benefit society as a whole, including governments, healthcare systems, schools, workplaces, and communities. Promoting mental health awareness and education can lead to improved mental health outcomes and foster more informed and supportive attitudes within the community.

Perceptions of mental health disorders shape societal understanding and responses, with stigma being a deeply ingrained challenge [ 16 ]. Negative labels lead to discrimination and hinder help-seeking. Cultural and religious beliefs influence perceptions, creating taboos and stereotypes. Communities’ cultural heritage contributes significantly to mental health assets. Traditional practices and cultural norms actively foster the well-being of community members, providing a sense of identity, belonging, and continuity [ 17 ]. Engaging in cultural activities, including rituals, storytelling, and communal celebrations, creates a supportive environment that enhances emotional resilience and connection. Cultural engagement goes beyond tradition preservation, significantly impacting individuals’ mental well-being by reinforcing a sense of community and cultural pride. Social support is a complex and interconnected system that encompasses familial, communal, spiritual, educational, and economic networks [ 18 ]. This multifaceted structure becomes particularly evident in times of adversity, fostering shared bonds and collaborative efforts. Narrative resilience, rooted in stories of overcoming challenges, shapes the mental well-being of community members, creating a collective identity of resilience and unity [ 19 ]. These narratives, intertwined with various dimensions, serve as a source of strength, turning crises into opportunities for growth and building a lasting legacy of resilience. These narratives, intertwined with various dimensions, serve as a source of strength, turning crises into opportunities for growth and building a lasting legacy of resilience. The digital age has brought transformative changes to social support, with virtual communities and digital platforms bridging geographical gaps. Technology plays a crucial role in facilitating connections among community members, allowing them to share support regardless of physical distances [ 20 ]. Online forums, social media, and virtual gatherings not only maintain connections but also provide access to diverse perspectives and resources. This evolution in social interaction fosters inclusivity and strengthens mental well-being in the rapidly digitizing world.

Media inaccuracies perpetuate fear, hindering open discussions [ 21 ]. Positive attitudes toward mental health are crucial, fostering support and understanding. Societal awareness and education can transform perceptions, enhancing access to services and reducing discrimination [ 22 ]. Understanding mental health complexity is vital to combating misconceptions. This study in Matsafeni Village aims to explore beliefs and knowledge, addressing the community’s mental health needs.

The investigation into mental health awareness among Matsafeni village residents in Mbombela, Mpumalanga province, is expected to uncover diverse levels of knowledge and perspectives concerning mental health disorders. The hypothesis suggests that elements such as cultural influences, educational background, social support, resilience, and accessibility to mental health resources will play a substantial role in shaping residents’ comprehension and attitudes toward mental health. Furthermore, the study foresees that its results will emphasize the necessity for specific mental health education initiatives aimed at bridging awareness gaps and fostering a more enlightened and supportive community atmosphere.

2. Methodological Research

2.1. research method and design.

This study used a qualitative research method with an exploratory and descriptive approach to investigate the knowledge and perceptions of mental health disorders among community members in Matsafeni Village. Individual interviews were conducted with fifteen participants, providing a detailed and nuanced insight into the community’s views on mental health issues.

2.2. Study Setting

The research was conducted in Matsafeni Village, situated 5 km from Mbombela city in Mpumalanga province, South Africa. The village, home to approximately 3723 residents across 826 households, is predominantly female (51%) and linguistically diverse, with 58% speaking IsiSwati, 29% speaking Xitsonga, 3% speaking Sesotho, and 3% speaking Afrikaans [ 23 ]. Despite having a private clinic providing basic healthcare, the village struggles with high unemployment rates and widespread adult illiteracy. The selection of this village was informed by the observed challenges faced by individuals with mental health disorders, as evidenced by their presence on the streets, appearing disoriented, lost, and disheveled.

2.3. Sampling and Participants

A convenience sampling method was used to select 15 community members or residents of Matsafeni village, with diverse demographics representing varied age groups, genders, occupations, and educational backgrounds. The study included residents of Matsafeni village. Sample size determination was based on data saturation, which is the point in research where new information or insights become limited, indicating that a comprehensive understanding of the topic has been achieved. The decision to stop data collection at the 15th participant was because no new information was coming forth except repetition.

2.4. Data Collection Instrument and Procedure

Data were collected through unstructured interviews, with voice recorders capturing responses and field notes documenting non-verbal cues. In the study, participants were involved in one-on-one semi-structured interviews, where open-ended questions played a crucial role in exploring their understanding and perceptions of mental health disorders. The interviews covered various aspects, including causes, symptoms, available treatments, help-seeking behaviors, and community experiences related to mental health. Questions asked, which framed the interviews, included: “What do you know and think about mental health issues?”; “What makes people have mental health problems, and can they be treated?”; “Can you share your thoughts on how mental health is perceived within the Matsafeni community?”; and “How do cultural factors influence the way mental health is understood and discussed in Matsafeni?”.

The application of open-ended questions in this context allowed participants to express their thoughts and experiences freely, without being constrained by predefined answer options. The questions aimed to capture a broad range of responses, providing insights into the diversity of perspectives within the community. The open-ended nature of the inquiries encouraged participants to elaborate on their beliefs and experiences, fostering a more comprehensive understanding of their views on mental health. To enhance the richness of the data, the interviewers used probing and clarity-seeking questions. Additionally, a pilot study helped in identifying and addressing any potential cultural insensitivity in the questions. The feedback gathered from these pilot interviews was then utilized to refine the overall interview approach. Interviewers familiarized themselves with the study setting beforehand, gaining insights into the cultural norms and practices of the area. Collaboration with community leaders and influencers played a crucial role in establishing trust and legitimacy, seeking approval and guidance to ensure the research’s cultural appropriateness and respectfulness. Local language and communication styles were employed during data collection to foster a more comfortable and culturally sensitive interview environment. The researcher, maintaining a neutral, empathetic, and impartial stance, facilitated the interviews while taking comprehensive field notes. Bracketing and reflective remarks were employed to enhance the depth of insights.

2.5. Data Analysis and Measures of Rigor

All interviews were transcribed and analyzed using NVivo 24.23.0 software, ensuring systematicity and efficiency. The use of software facilitated the organization and retrieval of coded data, contributing to the rigor and accuracy of the analysis. A comprehensive coding framework was established, comprising an increased number of elements to code the identified categories and subcategories. The researcher and supervisors independently analyzed transcripts, and inter-coder reliability measures were employed to assess the consistency of coding decisions. Any discrepancies were discussed and resolved to enhance the overall reliability of the coding process. Regular joint meetings ensured consensus, fostering a robust and well-validated interpretation of the data. Thematic data analysis incorporated direct quotations for an authentic representation, adding depth to identified themes and sub-themes.

Trustworthiness was ensured through credibility, transferability, confirmability, and dependability measures. Credibility was assessed through member checking, allowing participants to review and validate the findings to ensure accurate representation of their perspectives. To enhance transferability, the study provided detailed descriptions of methods, setting, and participants, enabling other researchers to assess the applicability of the findings to similar contexts. Confirmability was achieved by maintaining an audit trail, documenting decisions and steps during data collection and analysis, providing transparency for others to verify procedures. Dependability was strengthened through inter-coder reliability measures, with both the researcher and supervisors independently analyzing data. Thematic consistency was maintained through regular joint meetings, addressing discrepancies and fostering consensus on emerging themes.

2.6. Ethical Considerations

This study forms part of a broader research project on the perceptions and knowledge of Matsafeni Village community members regarding mental health disorders, approved by the Turfloop Research and Ethics Committee (TREC) at the University of Limpopo (clearance certificate number TREC/624/2022: PG). The Matsafeni Traditional Council (Sphezi Royal House) granted permission for the study. Participants signed written consent forms, acknowledging their voluntary participation and their right to withdraw at any stage without consequences. Privacy and confidentiality were meticulously upheld for participants and their personal information.

Table 1 details the demographic backgrounds of the 15 study participants. The sample was balanced across age groups (six participants aged 18–35, five aged 36–50, and four aged 50–60). Marital statuses varied: four were married, four were single, two were cohabiting, one was in a relationship, one had never been married, and one was divorced. Employment status also varied: seven participants were self-employed in various capacities, five were employed, and three were unemployed.

Demographic Background.

Table 2 visually presents the identified themes and sub-themes derived from the interview data. The initial theme delves into the comprehension of mental health disorders, further categorized into three distinct sub-themes. The subsequent theme centers around the perceptions of mental illness, with three sub-themes providing a detailed exploration of participants’ perspectives on this topic.

Themes and sub-themes that emerged from data.

3.1. Theme 1: Understanding of Mental Health Disorders

3.1.1. sub-theme 1.1: description of mental illness.

Participants articulated mental health disorders as disruptions in thought patterns resulting in a detachment from reality. The described symptoms encompassed challenges in self-care, a sense of perceived irrationality, fluctuations in intelligence, memory lapses, intense feelings of sadness, and heightened excitement.

• Participant No. 1: “Mental health disorders means that a person is failing to think normally”.
• Participant No. 2: “Is when a person has a shortage of memory, he/she cannot think like any other person and requires care and patience”.
• Participant No. 3: “Is when a person is bewitched and made to lose his/her mind”.

3.1.2. Sub-Theme 1.2: Signs of Mental Illness

Participants recognized different signs and symptoms of mental health disorders, stressing the importance of spotting these signs. Some mentioned behaviors like people taking off their clothes in public, others always seeming hungry, or having strange conversations. Here are a few quotes from what participants shared:

• Participant No. 3: “There are those that would just take off their clothes on the streets but for others, you cannot really tell that they are suffering from this illness if it is not extreme. People that are mentally ill are always hungry and eating continuously”.
• Participant No. 4: “A person that is mental unfit can be seen rooming around the streets, untidy, staying on the streets, holding sharp things which they use to inflate pain on themselves”.
• Participant No. 10: “The signs that I noticed from people that are affected by this illness involve poor communication (not making sense when talking, limited replies, giving irrelevant responses to questions asked or not responding at all), ignore other people and avoid communication with them, and they always seem like their minds are preoccupied”.

3.1.3. Sub-Theme 1.3.: Behaviors of Mental Health Patients

The study discovered that people with mental illness go through various experiences within families where someone is diagnosed with mental health disorders. Two participants shared their personal experiences with family members diagnosed with mental health disorders, pointing out the difficulties, emotional stress, and ways of coping with supporting those affected. Here are some quotes from the interviews:

• Participant No. 1: “Picking papers on the streets and eating from garbage bins”.
• Participant No. 2: “Their behavior shows that they are mentally unwell. This can include them being very dirty, leaving their homes to stay on the streets, talking alone and sometimes arguing by themselves, and sometimes portraying signs of being disoriented. It can be easy to identify a mentally ill person in that they can be a danger to themselves and others and or insult others on the streets. This is a result of them not being able to differentiate between right and wrong.
• Participant No. 13: “The sufferers of mental illnesses might throw themselves to the ground, hurting themselves and posing danger to other people”.

3.2. Theme 2: Perceptions of Mental Illness

3.2.1. sub-theme 2.1.: perception of causes of mental health conditions.

Participants attributed mental health conditions to witchcraft, genetics, poverty, overthinking, substance abuse, and attempts at terminating pregnancies. This sub-theme captured diverse perspectives on the origins of mental health disorders.

• Participants No. 2: “Mental illness results from when a person stole something from someone and they are bewitched, however, there are some people that are born with the illness”.
• Participants No. 4: “In my view, there are two causes of mental health disorders, there are those that are born with the sickness and those that encounter changes due to parents using them to enrich themselves (black magic)”.
• Participant No. 9: “For some kids is the shortage of cells required in their system, this can be resultant from a mother who tried to abort the baby during pregnancy, due to the intake of the foreign medications, the baby might be born with mental disabilities”.

3.2.2. Sub-Theme 2.2.: Seeking Help for Management of Mental Disorders

Participants unanimously advocated for seeking help for mental health disorders, emphasizing the importance of treatment and support. Some participants suggested traditional healers and herbalists, while others recommended medical facilities and therapies.

• Participant No. 4: “The mentally ill people can be assisted through admission into the mental institution, where government can fund and render the necessary treatment services for them to heal from their disorders. In these institutions, mentally ill people can be placed in the same place with other people that are mentally ill, taken through schooling processes; this will assist them in not feeling less of human beings. I think churches can also assist in curing the sicknesses as well as hospitals, depending on the type of illness the person suffers from”.
• Participant No. 6: “People with mental illnesses must all possibly seek help they can get from traditional healers; this will assist in reducing the symptoms that comes with the disorder”.
• Participant No. 14: “I believe people with mental illnesses should get help, from strong herbalist with vast indigenous traditional medicinal herbs and even clinics for them to stop hurting themselves and others”.
• Participant No. 15: “I believe that mentally ill people must seek help through therapy, social workers and an established healthy environment which can also assist in the reduction of stress, as the illness will not just disappear without treatment”.

3.2.3. Sub-Theme 2.3.: Perception on Treatment Options for Mental Health Conditions

Participants’ responses regarding treatment options varied, with some suggesting hospitals, medications, therapy, traditional healers, and herbalists. This sub-theme highlighted the diverse perceptions of the efficacy and appropriateness of different treatment modalities.

• Participant No. 6: “The places where these people can be assisted are the hospitals, and from traditional healers. This may not completely cure the illness but it can reduce the symptoms”.
• Participant No. 13: “I don’t know where people with mental health disorders can receive the help they require to heal through the western methods, but traditional healers have been helpful to mental health sufferers for a very long time”.
• Participant No. 14: “They can get treatment from the hospitals through intake of medication or they can visit a strong traditional herbalist who has vast experience in the indigenous herbs”.

4. Discussion

Participants in this study suggested that symptoms of the existence of mental health problems, including challenges in self-care, perceived irrationality, fluctuations in intelligence, memory lapses, intense feelings of sadness, and heightened excitement, resonate with established diagnostic criteria and descriptions of various mental health conditions. These descriptions align with the World Health Organization’s (WHO) definition of mental disorders, characterized by abnormalities in thoughts, perceptions, emotions, behavior, and interpersonal relationships [ 1 ]. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) acknowledges the intricate interplay of cognitive and emotional dimensions in mental health disorders [ 24 ]. For instance, challenges in self-care and fluctuations in intelligence are consistent with the cognitive impairments often associated with conditions like schizophrenia or severe depressive disorders [ 25 ]. The mention of perceived irrationality aligns with the distorted thought patterns observed in disorders like psychosis. However, some participants expressed a more cultural perspective, viewing mental illness as being bewitched and emphasizing a supernatural element that may not align with mainstream psychiatric definitions. These differing conceptualizations highlight the complexity of interpreting mental health experiences. The acknowledgment of bewitchment as a potential cause reflects the rich cultural tapestry and diverse belief systems within the community. This finding underscores the importance of considering cultural contexts when examining mental health experiences. Cultural beliefs and traditions play a significant role in shaping individuals’ understanding of mental health, influencing their perceptions of causes, symptoms, and appropriate interventions [ 26 ].

The study reveals diverse community perspectives on behaviors linked to mental illness. While some participants focus on visible actions such as picking papers and eating from garbage bins, others highlight potentially dangerous behaviors, such as individuals throwing themselves to the ground. This diversity underscores the complexity of mental health experiences and the need for nuanced, context-specific approaches. The findings emphasize the importance of considering both visible and harmful behaviors in comprehensive mental health assessments, informing targeted interventions for daily functioning challenges and safety concerns [ 15 ]. Individuals grappling with conditions like schizophrenia or severe depressive disorders may exhibit behaviors indicative of cognitive impairments, impaired reality testing, and challenges in daily functioning, as highlighted by the participants [ 27 ].

The emphasis on the potential danger posed by mentally ill individuals to themselves and others corresponds with the literature on the increased risk of self-harm or harm to others among certain subsets of individuals with mental health disorders [ 28 ]. This underscores the importance of understanding and addressing the complexities of managing the safety concerns associated with severe mental illnesses. Furthermore, the study shed light on various behaviors associated with mental illness, such as antisocial actions, disorientation, and self-harm [ 29 ]. These behaviors not only serve as outward manifestations of internal struggles but also pose challenges for the community in comprehending, empathizing, and providing appropriate support. It is therefore recommended that targeted community education programs be implemented to enhance understanding of mental health disorders, dispel myths, and reduce stigma. These programs should focus on promoting empathy, fostering open conversations, and encouraging early intervention.

The literature also supports the idea that individuals’ perceptions of mental health disorders are influenced by cultural and societal factors [ 30 ]. The participants’ perspectives highlight the complex interplay of cultural beliefs and personal experiences in shaping their understanding of mental illnesses. There is a need for research studies exploring cultural variations in symptom expression, emphasizing the importance of considering cultural contexts in mental health assessments.

The identification of witchcraft, genetics, poverty, overthinking, substance abuse, and attempts at terminating pregnancies as contributing factors echoes studies emphasizing the socio-cultural determinants of mental health [ 31 , 32 ]. Cultural beliefs, such as attributing mental illness to witchcraft or black magic, are deeply rooted and play a significant role in shaping the understanding of mental health within communities [ 33 ].

The acknowledgment that some individuals might be born with mental illnesses aligns with the broader discourse on the complex interplay between genetic predisposition and environmental factors in mental health etiology [ 34 ]. This highlights the importance of understanding local beliefs and incorporating cultural competence in mental health interventions to bridge the gap between biomedical and culturally rooted perspectives [ 16 ]. Overall, the participants’ perspectives underscore the need for culturally informed and contextually sensitive mental health interventions that recognize and respect the diversity of beliefs surrounding the origins of mental health disorders. Integrating such cultural insights into mental health programs can contribute to reducing stigma, enhancing community engagement, and improving the effectiveness of interventions [ 35 , 36 ]. Establishing culturally informed support groups that reflect the diverse backgrounds of the participants can provide a safe space for sharing experiences, coping strategies, and mutual support. Participant insights can inform the structure and content of these groups, ensuring cultural relevance and sensitivity. Collaborating with mental health professionals can create accessible services tailored to the cultural context of the community. Participants’ insights can guide the development of outreach programs, counseling services, and mental health resources that specifically address the emotional repercussions identified in the study.

It is recommended that initiatives such as enhancing community awareness through educational programs, promoting early intervention strategies, and strengthening mental health services with a focus on collaboration between Western and traditional healing approaches be initiated. It is recommended to develop tailored educational workshops based on participants’ experiences and needs. These workshops should address specific aspects of domestic violence impact, coping mechanisms, and resources available within the community. The participants’ unanimous emphasis on seeking help for mental health disorders aligns with existing literature highlighting the importance of early intervention and appropriate support mechanisms for individuals experiencing mental health challenges [ 7 ].

While some participants advocate for admission to mental institutions and medical facilities, others propose seeking help from traditional healers and herbalists. These varied suggestions highlight the participants’ contrasting beliefs regarding the most effective avenues for addressing mental health concerns. These diverse perspectives underscore the cultural and individual variations in beliefs about what constitutes appropriate and effective treatment for mental health disorders within the community. The participants’ endorsement of conventional treatments reflects an acknowledgment of mainstream medical practices and psychiatric interventions. Hospitals, medications, and therapy align with established clinical approaches to mental health care that have a foundation in scientific research and evidence-based practices [ 37 ]. The acknowledgment of hospitals, medications, and therapy reflects the influence of Western biomedical models of mental health care, emphasizing the role of medical interventions and psychotherapeutic approaches [ 38 ].

On the other hand, the endorsement of traditional healers and herbalists as treatment options reflects a cultural and holistic approach to mental health. Moreover, the participants’ endorsement of traditional healers and herbalists for mental health support reflects the significance of cultural competence in mental health interventions. Traditional healing practices often incorporate cultural and spiritual elements, viewing mental health within a broader context that includes social, environmental, and spiritual dimensions [ 39 ]. The preference for these alternatives may stem from a belief in their effectiveness and a cultural trust in the healing abilities of traditional practitioners. The existence of these differing perspectives highlights the importance of recognizing and respecting diverse cultural beliefs and individual preferences when addressing mental health concerns. Integrating both conventional and traditional approaches in mental health interventions may enhance the accessibility and acceptability of services, promoting a more comprehensive and culturally sensitive approach to mental health care.

Integrating traditional healing practices within mental health programs has been recognized as valuable in bridging the gap between biomedical and traditional perspectives [ 40 ]. Inter-sectoral collaboration is crucial to delivering psychosocial rehabilitation for individuals diagnosed with severe mental illnesses that result in substantial functional impairment [ 41 ]. Promote collaboration between the healthcare sector and other relevant sectors, such as social services and community organizations, to provide comprehensive psychosocial rehabilitation for individuals with severe mental illnesses. Design interventions that involve the entire family unit. Participants’ insights may reveal the importance of family dynamics in the aftermath of domestic violence. Family-centered approaches can include counseling, communication skills training, and resources for parents to support their children effectively. Work closely with schools to implement awareness programs informed by participants’ insights. These programs can educate teachers, administrators, and students about the signs of domestic violence, its impact on children, and how to create a supportive environment within the school setting.

5. Study Limitations

The study’s primary limitation is the small sample size of 15 participants, potentially restricting the generalizability of the findings to the broader community. A larger and more diverse sample would improve the study’s representativeness. The study focused solely on Matsafeni Village in Mbombela municipality, Mpumalanga Province, limiting the applicability of the findings to other parts of the municipality or province. The absence of specific epidemiological data for the study setting underscores the importance of conducting a quantitative component to understand prevalence. Moreover, the study did not triangulate data from interviews and observations, leading to a lack of validation.

6. Future Prospects

Empowerment of the community by translating research findings into actionable initiatives. This could involve capacity-building programs, resource allocation for mental health services, and community-driven initiatives to foster a supportive environment. Targeted community-based interventions should be developed based on the study findings, encompassing mental health education programs, awareness campaigns, and tailored support networks that address the specific needs identified in the village. Collaborative initiatives are essential, involving local community leaders, organizations, and stakeholders to ensure cultural sensitivity and depth in future research. By extending the study’s geographic scope to include additional villages, towns, or provinces within Mbombela municipality or Mpumalanga province, a more comprehensive understanding of mental health perceptions across diverse communities can be achieved.

Longitudinal studies over an extended period are recommended to track changes in mental health perceptions, contributing to a dynamic and nuanced understanding of mental health awareness over time. Integrating a quantitative component in future research will complement qualitative insights and provide epidemiological data specific to the study setting, enhancing the understanding of mental health disorder prevalence. Furthermore, diversifying the study’s sample to include individuals from various demographics, occupations, and educational backgrounds will increase the external validity of the findings, ensuring a more representative portrayal of the broader community. Undertaking cross-cultural comparative studies with other regions or communities will identify variations and similarities in mental health perceptions, contributing to a broader understanding of regional or cultural influences on mental health awareness. Exploring the implications of the study for mental health policies at local and regional levels is crucial. Aligning study findings with existing policies and suggesting improvements can positively impact mental health support systems. Interdisciplinary collaboration is encouraged, involving experts from psychology, sociology, public health, and related fields to enrich perspectives and contribute to a holistic understanding of mental health awareness.

7. Conclusions

Community members provided in-depth insights into mental illnesses, elucidating their understanding of different disorders, ability to recognize signs and symptoms, personal interactions with diagnosed individuals, and observations of typical behaviors in those with mental health conditions. Participants also highlighted the communication difficulties, social withdrawal, and preoccupations faced by individuals with mental health disorders. The reported symptoms, behaviors, and potential dangers associated with mental health disorders correspond with existing research, emphasizing the complexity of managing safety concerns in individuals with severe mental illnesses. The findings highlight the importance of community education programs to enhance understanding, dispel myths, and reduce stigma surrounding mental health. Additionally, the study underscores the influence of cultural and societal factors on individuals’ perceptions of mental health, emphasizing the need for culturally informed interventions. The recommendations include targeted community education, early intervention strategies, strengthened mental health services, and collaboration between Western and traditional healing approaches. This comprehensive and contextually sensitive approach aims to foster a better understanding of mental health, promote community well-being, and improve support mechanisms for individuals with mental health challenges.

Acknowledgments

The participants from Matsafeni Village, who generously volunteered and actively contributed to this study, are recognized and appreciated.

Funding Statement

This research received no external funding; therefore, the study was self-funded.

Author Contributions

The primary contributors to the creation of this study include E.N.M., M.H.M. and L.S. E.N.M. was responsible for data collection, analysis, interpretation, and the initial drafting of the manuscript. M.H.M. and L.S. provided supervision and guidance and contributed to the study’s design and methodology. All authors played a significant role in shaping the final manuscript and gave their approval for its completion. All authors have read and agreed to the published version of the manuscript.

Institutional Review Board Statement

This study was approved on 22 November 2022 by the Institutional Review Board (IRB) at University of Limpopo (approval no. TREC/624/2022: PG).

Informed Consent Statement

Participants provided signed written consent forms affirming their voluntary participation and consent to publish the outcome of the study in adherence to ethical standards protecting their privacy, anonymity, and confidentiality.

Data Availability Statement

Conflicts of interest.

The author declares that there are no competing interests to disclose.

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Soaring rates of anxiety and depression among adolescents . Medical groups declaring a “national emergency.” The surgeon general calling for an “all of society” response to a “devastating” mental health crisis among young people.

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Amid an enormous societal push to destigmatize mental illness and encourage more conversation about emotions, young people have been flooded with mental health information on social media and elsewhere. But much of it is unreliable and counterproductive.

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Mental Health: Prioritizing Education, Access, and Awareness

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Published: Feb 7, 2024

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Table of contents

Introduction, stigma and misconceptions surrounding mental health, the importance of mental health education and awareness, access to mental health services and treatment, the economic and social impact of mental health issues, counterargument and rebuttal.

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Mental Health at Iowa

The Power of Reflection and Self-Awareness

The year I turned 8, I was mortified the day my mother found my notebook of poems hidden under the mattress of my bed. I was a shy child, an introvert who nurtured an overactive imagination and a prolific inner monologue that was manifested in the poems I wrote. I was so embarrassed that I stopped writing for the rest of that year. It was then that I realized how much my writing, particularly my poems, helped me to be aware of my deepest thoughts. Through my writing, I could be introspective and aware of what I really thought and experienced. Thankfully, I resumed.

Fast forward to the COVID-19 pandemic and its associated myriad challenges. I found myself at a crossroads, wondering if I had taken the right path by becoming a physician. I had long passed the stage where I could easily change careers. I had also passed the stage where I regularly wrote, having neither the time, mental bandwidth, nor desire to face my darkest thoughts. I constantly ruminated about my struggles and wondered whether it was me or if it was the work and the world that impacted how I felt. It was then that I returned to writing to help shed light on this dilemma. 

Writing was my way of self-reflection; it was the self-reflection that raised my self-awareness and helped me to reconcile the eclectic aspects of my experiences. As a psychiatrist, I am constantly on the quest to learn more about myself and to help others understand themselves. I found that self-awareness, through reflection and introspection, is a powerful tool. Self-awareness is a journey, not a destination. It is a skill to be practiced. It can be a struggle, though not always a painful one. Organizational psychologists speak of “internal awareness”—our understanding of our values, passions, and aspirations—and “external awareness”—being aware of how others view us. This helpful  article  in the Harvard Business Review (2018) talks about both. I have also found this  podcast  on the same topic to be useful.

Our lives on campus offer us space for self-awareness. Here are some suggestions to consider in developing your practice of self-awareness:

■ Check in with yourself on a regular basis. Ask yourself, what about my life is working for my well-being? What is not working for my well-being?

■ Once you understand what helps you function optimally, learn to say “no” to things that are unhelpful or detrimental. Protect your time and mental space for commitments. 

■ Know your values. Try to align your actions and pursuits to your values and not to arbitrary goals. This will help you parse down what you need to accomplish in a finite amount of time.

■ Engage with your loved ones. They can help you assess whether you are struggling or thriving and might have noticed when you are at your most content. 

■ Engage with your work community. What are others’ viewpoints regarding the work environment? For shared concerns, brainstorm ideas together. Research shows that the act of getting together to talk about your concerns and passions can ameliorate burnout. 

■ Ask for help from mentors and guidance counselors. They often have a wider perspective of our work lives and can help understand barriers between us and well-being. 

Often, we are apprehensive of really reflecting because we fear the answers we may find. What if, after all your introspection, you find that life, or the work that you have chosen for it, is not perfect? That is a profound realization. Accepting that something is not ideal but that you can progress despite it or because of it is a key act of improving your well-being. The acts of introspection and subsequent self-awareness are key steps to identifying your limitations and thriving despite them.

I leave you with the poem that I wrote a few years ago when I was struggling with radical acceptance of my own. I hope you find that you are stronger than you think, and all the better for your struggles. 

This is not a poem.

But the broken shards of one.

Needling and numbing,

Just a few words left in juxtaposition.

Careful! The edges are sharp!

Glistening with poison,

The grief of the broken heart.

But the Japanese know of one.

Kintsukuroi*

Celebrating the undone.

But the renaissance of one.

This is not a poem,

But it is a beautiful one.

*Kintsukuroi – “to repair with gold”; the art of repairing pottery with gold or silver lacquer and understanding that the piece is more beautiful for having been broken.

Cover image by Hannah Olinger.  

Unconscious

What is self-reflection and why it matters for wellness, want to know why you do the things you do learn how to self-reflect..

Posted October 7, 2019 | Reviewed by Lybi Ma

So many of our habits, patterns of behavior, and pre-set programming are buried in our subconscious . They operate in a sort of “control room”, directing how we think, feel, and act, often times hurting our well-being (take this well-being quiz to see how you're doing). If we want to be in control, we need to see into the "control room", beyond the conscious mind, and change some of the programming we no longer benefit from. One way to access the unconscious is through self-reflection—i.e., putting a mirror up to ourselves and analyzing what we see or feel as objectively as possible so that we can better understand ourselves and how think, feel, and behave. But how do we engage in this type of deep self-reflection?

Setting the Stage for Self-Reflection

While doing research for my new book, Outsmart Your Smartphone , it became clear to me that we are super busy, distracted, and therefore, seem to have a harder time with self-reflection. That's because self-reflection requires a reasonably tranquil mind . Some self-reflectors begin with a short meditation , maybe several deep breaths, or some rhythmic breathing to quiet their thoughts. Perhaps you prefer to imagine yourself pulling on imaginary reins to quiet your prancing mind, or some other creative imagination activity appropriate to you that mellows your mind.

Of course, penetrating the unconscious can be illusive. Sometimes deep self-reflection may feel like you are trying to tame a raging sea, so talk yourself down, if that helps, and ask yourself questions to get at the heart of your matter. If answers are not forthcoming, then give it some time, and return to any thoughts or questions later when you are feeling open to learning more about yourself. Let busy thoughts fly away and focus on your goal—to know yourself better.

Identify The "What" of Self-Reflection

Once you feel calm and quiet, direct your focus inward. Choose a particular issue you want to change. Pull up a memory of an important incident.

Ask yourself:

• What impressions arise as you focus on this issue?
• What does it make you feel?
• What does it make you think?

Identify the "Why" of Self-Reflection

With your mind quieted, try to look deeper. Intend to go back to the most pivotal point related to this memory. What did you feel, think, or do? Now, go a layer deeper, and ask yourself: Why did you think, feel, or do these things?

These kinds of inner search-and-discovery missions through self-reflection can get gnarly, so take your time. Once you have opened the cork on this Genie’s bottle, the work has begun and it will most likely continue until some major issues are better understood, if not completely resolved.

Observe Yourself with This New Insight

Next, observe yourself living your life, in the present. Try to "catch yourself" when your unconscious is in control, leading you to feel, think, and act in ways that bother you. Through self-reflection your self-awareness will grow. Once you are aware of your inner programming, you are on the path to authenticity and greater control over your life .

Use Self-Reflection as a Tool for Change

The next step is to cultivate the desire to change behaviors that bother you. After identifying any problematic aspects of yourself, take the wheel and slowly shift your behavior in ways that better represent how you want to be.

If you thought “that issue” was “fixed” but it comes back, self-reflect once again to see if you missed something important. It’s not easy to change ourselves/our behavior, and it may take several attempts to get it “right”, so keep at it each time a behavior you don’t like surfaces.

Self-Reflect with Self-Compassion

Be gentle with yourself as you self-reflect. The goal is not to judge your past choices, but to reflect on them, learn from them, and make whatever changes you feel are appropriate for you in the here and now. As you build new habits through self-awareness, you can become more balanced, healthy, and happy .

Tchiki Davis, Ph.D. , is a consultant, writer, and expert on well-being technology.

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Mental Health in Context: A Personal Reflection

Introduction.

Mental health has received a great deal of attention in recent years, highlighting the need for a more thorough knowledge of mental health in many social situations (Howard & Khalifeh, 2020). As I consider the materials and assignments offered in Modules One and Two, I am driven to investigate the topic of mental health from a personal view in various social situations. In addition, I spoke with a family member from a different generation to gain their perspective on the issue since their perspective may give essential insights into how society’s approach to mental health has changed in this essay. I will discuss my personal views as well as those of a family member, as well as an example of the CEO’s response to an employee’s complaint.

Understanding Mental Health in Social Contexts

Before we delve into the conversation with my family member and the case study of the CEO’s response to an employee’s mental health request, it is essential to understand the broader context of mental health in society. Mental health exists on a range, and it is crucial to recognize that every individual falls somewhere on this spectrum (Keeley, 2021). This understanding is fundamental when discussing mental health, as it emphasizes the uniqueness of each person’s experience and challenges the stigmatization of mental health conditions.

Personal Reflections

Based on my knowledge and understanding of mental health, I believe it is not a plastic term. I have come across friends and coworkers who have struggled with mental illness throughout the years, and each one has a unique tale to relate to. Some fought in private, while others sought assistance in public. Despite the fact that society’s opinion of and support for mental health is changing, we are still a long way from removing the stigma. Given my reactions to persons suffering from mental illnesses, I must admit that my understanding has grown. In my younger years, I could have been less empathic and more prone to misinterpreting or even criticizing people in need; however, as I become more familiar with the complexity of mental health. I learnt to approach people with empathy, putting their humanity ahead of their circumstances.

My Family Member’s Perspective

I met with my late fifties uncle to obtain a multigenerational perspective on mental health. He shared his thoughts on how mental health was seen when he was younger and how it has grown through time. My uncle said that when he was younger, mental health was a taboo issue (Ali et al., n.d.). He recalled the prevalent idea that individuals should “tough it out” and that seeking treatment for mental health difficulties was generally viewed as a sign of weakness.

As the talk progressed, my uncle told a personal anecdote of a close friend who experienced severe mental health difficulties in the 1980s. His friend’s hardship mainly remained hidden, and when he did seek aid, he was faced with suspicion and a scarcity of resources. As a result, his friend’s agony was prolonged, and help was fatally delayed.

My uncle went on to express his delight that attitudes about mental health had shifted dramatically in recent years. He stated that society today recognizes the significance of discussing mental health freely and without shame. He also emphasized how the availability of services and support networks has grown, making it easier for people to get the help they require. He highlighted the need to treat people with self-respect and kindness regardless of their mental condition.

CEO’s Response to an Employee’s Mental Health Request

The example of a CEO’s response to an employee’s mental health request, as reported by News.com.au in 2017, exemplifies the obstacles and advancements in understanding mental health in social situations. The CEO’s email answer to an employee’s request for a “mental health day” in the article went viral, eliciting both acclaim and condemnation (AU, 2017).

The CEO began by acknowledging the employee’s request and expressing support for the significance of mental wellness. However, it also conveyed suspicion, implying that the employee’s generation was too sensitive. The CEO mentioned that taking time off for mental health would not have been considered during his early career. He ended the email with a message of encouragement but cautioned the employee to anticipate a different level of empathy from all future employers.

This instance demonstrates numerous critical issues of mental health in social environments (Low et al., 2020). For starters, it reflects shifting views regarding mental health, in which people are more upfront about their issues and the necessity of resolving them. The employee’s request demonstrates the rising importance of mental health in the workplace.

However, the CEO’s reaction highlights the age divide in mental health awareness. While the CEO offered his support, he also expressed concern about the younger generation’s attitude towards mental health (Grob, 2019). This highlights the difficulties of linking the generational divide in understanding mental health as well as the necessity for ongoing education and awareness.

Furthermore, the CEO’s speech raises worries about the level of help that individuals may expect in various social circumstances. While the CEO acknowledged the importance of mental health, his statement about future firms not being as understanding shows that support may not be consistent across different organizations. This difference emphasizes the need for more comprehensive and consistent professional mental health help techniques.

Support and Complications in Mental Health.

As I reflect on the personal and generational perspectives on mental health, it is evident that progress has been made in recognizing its importance. However, there are still various levels of support and complications that individuals face when living with a mental health condition (Organization, 2022).

Support Systems:  Mental illness support services include therapy, counselling, drugs, and community services. Companies are introducing mental health initiatives to support employees, but the quality and availability of these services may vary depending on geographical location, financial resources, and employment climate.

Stigma:  Despite progress, mental health stigma persists, with many fearing judgment or discrimination. The CEO’s response to an employee’s request highlights the need for ongoing education and awareness to eradicate this stigma despite a more welcoming culture. Addressing antiquated attitudes towards mental health is crucial for a more inclusive and practical approach.

Intersectionality:  A personal perspective emphasizes the importance of understanding and addressing the overlapping variables that influence mental health experiences, such as gender, race, financial level and cultural background, to ensure individuals receive appropriate help and overcome challenges.

Preventive Measures:  While there is a greater emphasis on assisting those who already have mental health issues, there is still work to be done in terms of prevention. Stress management and resilience building should be emphasized as part of our society’s approach to mental health. In this sense, education and awareness initiatives might be beneficial.

Mental health, a complex and evolving concept, necessitates a ‘person first perspective’ for comprehensive understanding across diverse social contexts (Blakemore, 2019). Reflecting on my journey, insights from my family members, and the CEO’s response to an employee’s mental health request, it’s evident that strides have been made in recognizing mental health’s significance. However, we must persist in DE stigmatization, bridge generational understanding gaps, and ensure consistent support for those with mental health conditions. Our commitment to education, preventive measures, and fostering a society where individuals are treated with empathy and respect, irrespective of their mental health, can pave the way for a future where mental well-being is valued (Patnaik, 2021).

REFERENCES.

Ali, S., Harrichand, J., Shillingford, M., & Herbert, L. (n.d.). A Qualitative Investigation of Guyanese American Perceptions of Mental Health.  The Professional Counselor TM ,  13 (1), 1–16. https://doi.org/10.15241/sa.13.1.1

AU, N. (2017, July 11).  Sick days for mental health get unexpected response from CEO . NewsComAu. https://www.news.com.au/technology/online/social/ceos-reply-to-employee-mental-health-sick-day-email-goes-viral/news-story/8a0b4fd691dd5360cdd201e6e49a5e91

Blakemore, S.-J. (2019). Adolescence and mental health.  The Lancet ,  393 (10185), 2030–2031. https://doi.org/10.1016/s0140-6736(19)31013-x

Grob, G. N. (2019). Mental Illness and American Society, 1875-1940. In  Google Books . Princeton University Press. https://books.google.co.ke/books?hl=en&lr=&id=X1mYDwAAQBAJ&oi=fnd&pg=PR9&dq=he+also+expressed+concern+about+the+younger+generation%27s+attitude+towards+mental+health&ots=DtEhFS185b&sig=gpNC3x_JyXVy7_Se3f50dlHJXOc&redir_esc=y#v=onepage&q&f=false

Howard, L. M., & Khalifeh, H. (2020). Perinatal Mental health: a Review of Progress and Challenges.  World Psychiatry ,  19 (3), 313–327. https://doi.org/10.1002/wps.20769

Keeley, B. (2021). The State of the World’s Children 2021: On My Mind–Promoting, Protecting and Caring for Children’s Mental Health. In  ERIC . UNICEF. https://eric.ed.gov/?id=ED615261

Low, D. M., Rumker, L., Talkar, T., Torous, J., Cecchi, G., & Ghosh, S. S. (2020). Natural Language Processing Reveals Vulnerable Mental Health Support Groups and Heightened Health Anxiety on Reddit During COVID-19: Observational Study.  Journal of Medical Internet Research ,  22 (10), e22635. https://doi.org/10.2196/22635

Organization, W. H. (2022, June 16).  World mental health report: transforming mental health for all . Archive.hshsl.umaryland.edu. https://archive.hshsl.umaryland.edu/handle/10713/20295

Patnaik, D. G. (2021). Positive Psychology for Improving Mental Health & Well-Being. In  Google Books . Notion Press. https://books.google.co.ke/books?hl=en&lr=&id=XLEcEAAAQBAJ&oi=fnd&pg=PT5&dq=Our+commitment+to+education

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• Mental Health Essay

Essay on Mental Health

According to WHO, there is no single 'official' definition of mental health. Mental health refers to a person's psychological, emotional, and social well-being; it influences what they feel and how they think, and behave. The state of cognitive and behavioural well-being is referred to as mental health. The term 'mental health' is also used to refer to the absence of mental disease. 

Mental health means keeping our minds healthy. Mankind generally is more focused on keeping their physical body healthy. People tend to ignore the state of their minds. Human superiority over other animals lies in his superior mind. Man has been able to control life due to his highly developed brain. So, it becomes very important for a man to keep both his body and mind fit and healthy. Both physical and mental health are equally important for better performance and results.

Importance of Mental Health 

An emotionally fit and stable person always feels vibrant and truly alive and can easily manage emotionally difficult situations. To be emotionally strong, one has to be physically fit too. Although mental health is a personal issue, what affects one person may or may not affect another; yet, several key elements lead to mental health issues.

Many emotional factors have a significant effect on our fitness level like depression, aggression, negative thinking, frustration, and fear, etc. A physically fit person is always in a good mood and can easily cope up with situations of distress and depression resulting in regular training contributing to a good physical fitness standard. 

Mental fitness implies a state of psychological well-being. It denotes having a positive sense of how we feel, think, and act, which improves one’s ability to enjoy life. It contributes to one’s inner ability to be self-determined. It is a proactive, positive term and forsakes negative thoughts that may come to mind. The term mental fitness is increasingly being used by psychologists, mental health practitioners, schools, organisations, and the general population to denote logical thinking, clear comprehension, and reasoning ability.

 Negative Impact of Mental Health

The way we physically fall sick, we can also fall sick mentally. Mental illness is the instability of one’s health, which includes changes in emotion, thinking, and behaviour. Mental illness can be caused due to stress or reaction to a certain incident. It could also arise due to genetic factors, biochemical imbalances, child abuse or trauma, social disadvantage, poor physical health condition, etc. Mental illness is curable. One can seek help from the experts in this particular area or can overcome this illness by positive thinking and changing their lifestyle.

Regular fitness exercises like morning walks, yoga, and meditation have proved to be great medicine for curing mental health. Besides this, it is imperative to have a good diet and enough sleep. A person needs 7 to 9 hours of sleep every night on average. When someone is tired yet still can't sleep, it's a symptom that their mental health is unstable. Overworking oneself can sometimes result in not just physical tiredness but also significant mental exhaustion. As a result, people get insomnia (the inability to fall asleep). Anxiety is another indicator. 

There are many symptoms of mental health issues that differ from person to person and among the different kinds of issues as well. For instance, panic attacks and racing thoughts are common side effects. As a result of this mental strain, a person may experience chest aches and breathing difficulties. Another sign of poor mental health is a lack of focus. It occurs when you have too much going on in your life at once, and you begin to make thoughtless mistakes, resulting in a loss of capacity to focus effectively. Another element is being on edge all of the time.

It's noticeable when you're quickly irritated by minor events or statements, become offended, and argue with your family, friends, or co-workers. It occurs as a result of a build-up of internal irritation. A sense of alienation from your loved ones might have a negative influence on your mental health. It makes you feel lonely and might even put you in a state of despair. You can prevent mental illness by taking care of yourself like calming your mind by listening to soft music, being more social, setting realistic goals for yourself, and taking care of your body. 

Surround yourself with individuals who understand your circumstances and respect you as the unique individual that you are. This practice will assist you in dealing with the sickness successfully.  Improve your mental health knowledge to receive the help you need to deal with the problem. To gain emotional support, connect with other people, family, and friends.  Always remember to be grateful in life.  Pursue a hobby or any other creative activity that you enjoy.

What does Experts say

Many health experts have stated that mental, social, and emotional health is an important part of overall fitness. Physical fitness is a combination of physical, emotional, and mental fitness. Emotional fitness has been recognized as the state in which the mind is capable of staying away from negative thoughts and can focus on creative and constructive tasks. 

He should not overreact to situations. He should not get upset or disturbed by setbacks, which are parts of life. Those who do so are not emotionally fit though they may be physically strong and healthy. There are no gyms to set this right but yoga, meditation, and reading books, which tell us how to be emotionally strong, help to acquire emotional fitness. 

Stress and depression can lead to a variety of serious health problems, including suicide in extreme situations. Being mentally healthy extends your life by allowing you to experience more joy and happiness. Mental health also improves our ability to think clearly and boosts our self-esteem. We may also connect spiritually with ourselves and serve as role models for others. We'd also be able to serve people without being a mental drain on them. 

Mental sickness is becoming a growing issue in the 21st century. Not everyone receives the help that they need. Even though mental illness is common these days and can affect anyone, there is still a stigma attached to it. People are still reluctant to accept the illness of mind because of this stigma. They feel shame to acknowledge it and seek help from the doctors. It's important to remember that "mental health" and "mental sickness" are not interchangeable.

Mental health and mental illness are inextricably linked. Individuals with good mental health can develop mental illness, while those with no mental disease can have poor mental health. Mental illness does not imply that someone is insane, and it is not anything to be embarrassed by. Our society's perception of mental disease or disorder must shift. Mental health cannot be separated from physical health. They both are equally important for a person. 

Our society needs to change its perception of mental illness or disorder. People have to remove the stigma attached to this illness and educate themselves about it. Only about 20% of adolescents and children with diagnosable mental health issues receive the therapy they need. 

According to research conducted on adults, mental illness affects 19% of the adult population. Nearly one in every five children and adolescents on the globe has a mental illness. Depression, which affects 246 million people worldwide, is one of the leading causes of disability. If  mental illness is not treated at the correct time then the consequences can be grave.

One of the essential roles of school and education is to protect boys’ and girls' mental health as teenagers are at a high risk of mental health issues. It can also impair the proper growth and development of various emotional and social skills in teenagers. Many factors can cause such problems in children. Feelings of inferiority and insecurity are the two key factors that have the greatest impact. As a result, they lose their independence and confidence, which can be avoided by encouraging the children to believe in themselves at all times. 

To make people more aware of mental health, 10th October is observed as World Mental Health. The object of this day is to spread awareness about mental health issues around the world and make all efforts in the support of mental health.

The mind is one of the most powerful organs in the body, regulating the functioning of all other organs. When our minds are unstable, they affect the whole functioning of our bodies. Being both physically and emotionally fit is the key to success in all aspects of life. People should be aware of the consequences of mental illness and must give utmost importance to keeping the mind healthy like the way the physical body is kept healthy. Mental and physical health cannot be separated from each other. And only when both are balanced can we call a person perfectly healthy and well. So, it is crucial for everyone to work towards achieving a balance between mental and physical wellbeing and get the necessary help when either of them falters.

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Mental Health Awareness Mondays — Building a Supportive Workplace: Reflections on Mental Health Initiatives and Adaptation

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• Mental Health Awareness

Editor’s Note: Today’s post is by Sharnie Dunstall. Sharnie is an advocate for spreading positivity and embracing life’s challenges. She works as the Inclusivity and Operations Manager at The International Bunch , is an active member of C4DISC,

In a world where labels seem to define everything, from our clothing preferences to disabilities to the choices we make, mental health is one of many aspects of our lives that shouldn’t fall victim to categorization. It’s time to change the stigma that mental health can be neatly packaged and labelled. It can’t, it shouldn’t.

Mental health isn’t just anxiety, depression, OCD, ADHD, schizophrenia, bipolar, and many more conditions; it could just simply be a bad day, a challenging time, isolation; or it could be related to illness, finances, gender, and many more reasons. Often it’s a combination of these or other factors. Mental health is all around us and affects everyone. Instead of focusing on labeling it, we should strive for understanding, compassion, and support for every individual’s unique mental well-being journey. Everyone deserves access to support and guidance.

Mental health is not a one-size-fits-all approach. It’s as diverse and complex as the individuals who experience it. Attempting to label mental health struggles oversimplifies them and can lead to stigma and discrimination. Labels like depressed, anxious, or bipolar can carry heavy baggage and often lead to defining individuals by their conditions rather than acknowledging their humanity.

Furthermore, labelling mental health can also create barriers to seeking help. Many individuals may fear being judged or misunderstood if they’re labeled with a mental health condition. This fear can prevent them from reaching out for support when they need it most. Instead of focusing on labels, we should foster environments where individuals feel safe to talk openly about their mental health without fear of judgment.

Mental health awareness isn’t just a cause I advocate for; it’s a lifeline. It’s a flicker of hope that guides me through the darkest corners of my mind, where the darkness of trauma and insecurities lie. Mental health is not just a trending topic for me, it’s deeply personal.

From the moment I was born, my life was marked by surgeries and hard times. Each procedure left its mark, not just on my face but also on my mental health. Living with a cleft lip and palate has been a journey marked not just by countless surgeries, procedures, and constant infections, but also by relentless bullying, exclusion, and the invisible battle to find self-acceptance. It was as if society had a script for how I should look, and I didn’t fit the mold. Every day is a battle to face the world with courage, to confront the stares and whispers, and to silence the inner voice that echoes the cruel words of others.

Every day, I wake up and face a battle on two fronts. There’s the battle against the demons that haunt me in the mirror, the relentless voice that whispers words of doubt and self-loathing. But there’s also the battle against the demons that lurk in the back of my mind, the ghosts of trauma and anxiety that threaten to consume me.

Yet, amongst the darkness, there’s a spark of hope, a glimmer of light that refuses to be put out it’s the realization that mental health struggles aren’t a sign of weakness but a sign of resilience, and the understanding that healing begins with acknowledging the pain and having the courage to reach out for help.

For years, I carried the weight of these battles in silence, afraid to speak up for fear of judgment or misunderstanding. But the truth is, mental health doesn’t discriminate. It doesn’t care about the shape of your smile or the scars on your face. It affects us all, regardless of who we are, what we look like, where we come from, and whether we are seen as “normal”.

Navigating these battles isn’t easy. The journey is filled with setbacks, struggles, and moments of despair, as well as moments of success. But through it all, I’ve learned the importance of vulnerability, the power of owning our struggles, and sharing our stories with others. There’s a kind of loneliness that comes with feeling like you don’t belong in your own skin. It’s like living in a world where everyone else speaks a language you can’t understand, where acceptance feels like a distant dream.

For me, every day is a battle against the demons. But with each sunrise comes a renewed sense of strength, a reminder that I am more than just my scars. While the journey towards self-acceptance may never end, it’s a journey worth taking. Every day I put on my suit of armor, and some days it is unbelievably strong and some days it’s not, but that is okay — I know that it is okay to not be okay.

It’s in our vulnerability that we find strength, the strength to break free from the shame and stigma, and the strength to reach out for help when we need it most. It’s in our vulnerability that we find connection, the connection that reminds us we’re not alone in our struggles.

Since stepping into my role as the Inclusivity and Operations Manager at The International Bunch, I’ve been focused on ensuring that our team feels supported, especially when it comes to their mental health and overall well-being. I became a certified Mental Health First Aider to provide initial support to any of our team experiencing a mental health crisis, or developing a mental health problem, or just having a bad day. I offer a listening ear, empathy, and guidance on how to access further support and resources.

Being a Mental Health First Aider isn’t just about getting the right training, it’s about creating a culture of understanding and kindness throughout our organization. It’s about recognizing that everyone’s mental health journey is totally unique and valid.

Working in the research ecosystem has opened up opportunities I didn’t realize were available. I joined The International Bunch as PA to Lou Peck (The International Bunch CEO) at the beginning of 2023, but my responsibilities grew, and I started being able to follow my passion, supporting the team more with important initiatives. My role morphed into Inclusivity and Operations in recognition of all the diversity, equity, inclusion, and accessibility (DEIA) related work I was doing. Lou connected me with Simon Holt (Senior Product Manager for Content Accessibility at Elsevier) to help me better understand how I can get more involved in DEIA work in the industry. Simon has been amazing and really helped solidify in my mind how best to focus this time. I’m an active member of C4DISC , and am now taking on the role of co-chair for the new ALPSP EDI special interest group (SIG), formerly their DEIA/EDIA Working Group co-chaired by Heather Staines and Margherita Zorzetto who did an amazing job. It is now transitioning to a SIG.

If you want to get more involved in our industry’s initiatives, get in touch with any of these groups; they are super helpful and will give guidance and advice.

Here are some tips I have learned along the way to help you support mental health in your own workplace:

• Continuous learning — dedicate time to educating yourself about various mental health conditions, their symptoms, and their impacts on individuals. Remember it’s not one-size-fits-all and the learning will never stop.
• Listen — sometimes, all someone needs is a friendly ear. Practice active listening when team members express their thoughts and feelings. Provide your full attention, validate their emotions, and offer support without judgment.
• Talk — encourage open discussions about mental health in both formal and informal settings. Create a safe space where team members feel comfortable sharing their experiences and seeking support without fear of stigma.
• Self-care — advocate for healthy coping strategies and self-care practices among your colleagues. Encourage individuals to prioritize their mental well-being and provide resources to support their efforts.
• Know when to refer — while mental health first aiders play a crucial role in providing initial support, it’s essential to recognize when professional intervention is necessary. Encourage team members to seek assistance from qualified mental health professionals when needed.

Big or small, there are lots of ways you can support your teams. We’re a small team of seven; here’s how we’re supporting mental health:

We’re a remote first business. Among the initiatives we have implemented is an in-house virtual counselor, helping team members access support anonymously as needed. Mireia from So We Are Counselling is someone that Lou mentored a few years ago through Business Wales and really saw the value of virtual counseling for the team, even before the pandemic. We secure two hours per month; if the team uses more hours, we pay the difference. The team reaches out to Mireia directly; they don’t need to inform us, and Mireia doesn’t tell us who she has spoken with – just how many sessions have been used. This approach has worked really well, with the team feeling more supported.

We’ve also started offering private health insurance with Vitality and we’ve just signed up with Croner for our HR and health and safety needs to ensure we are supporting our team members more. We also offer the team free access to health-related apps like HeadSpace. As a remote-first business, it can be harder to connect and reach each other, so we have a daily 15-minute check-in to see how we all are and whether anyone has anything they are stuck with. We also have regular meetings like British Sign Language (BSL) training and team meet-ups. At least once a year, we all meet up in person, and Lou and I also meet people individually face to face throughout the year.

While these efforts are commendable, they don’t always achieve the expected results. It’s equally important to acknowledge instances where certain initiatives didn’t meet the expected results. Trial and error is part of the process, and what works for some may not work for others due to factors like organizational size, willingness, understanding, and diversity. Not everything you try will be accommodating for all.

For instance, the weekly “Brew and a biscuit” sessions we experimented with where the team could join and talk about anything other than work, didn’t gain traction, possibly due to scheduling conflicts and levels of availability. Similarly, not everyone is able to participate in BSL training due to workload, which highlights the need for flexibility in accommodating diverse needs and preferences.

By embracing a culture of understanding and support, we can create a workplace where mental health is not defined by labels but by compassion and empathy.

Let’s work together to break down barriers, destigmatize mental health, and support each other on our journeys toward mental well-being.

To anyone out there battling their own demons, know that you’re not alone. Your story matters, and your voice deserves to be heard. Together, let’s break the silence and shine a light on the importance of mental health awareness. After all, it’s in our collective voices that we find strength, courage, and hope.

Mental health awareness isn’t just about raising awareness it’s about breaking the silence. It’s about creating a safe space where people can share their stories without fear of judgment or stigma. Because in the end, it’s our stories that connect us, that remind us that we’re not alone in our struggles.

Sharnie Dunstall

Sharnie Dunstall is an advocate for spreading positivity and embracing life's challenges. She works as the Inclusivity and Operations Manager at The International Bunch, is an active member of C4DISC, Co-chair of the ALPSP EDI/DEIA Special Interest Group, involved with Cleft Palate groups and is a trained Mental Health First Aider. Sharnie is passionate about creating environments where everyone feels valued and making a difference with a positive impact. As a person with a cleft palate, Sharnie has faced adversity and significant challenges throughout her life, which only drives forward her desire to help create a fairer world for everyone. Outside of work, Sharnie spends her days with her family including two boys and a menagerie of animals. She loves long walks, hiking through the mountains in South Wales, where she lives, and just being outside.

9 Thoughts on "Mental Health Awareness Mondays — Building a Supportive Workplace: Reflections on Mental Health Initiatives and Adaptation"

Thanks so much Sharnie for sharing your journey and experiences – you are an inspiration to us all!

The last sentence really encompasses a lot of what SSP’s Mental Health Task Force is trying to facilitate too – “Mental health awareness isn’t just about raising awareness it’s about breaking the silence. It’s about creating a safe space where people can share their stories without fear of judgment or stigma. Because in the end, it’s our stories that connect us, that remind us that we’re not alone in our struggles.”

• By Adrian Stanley
• May 13, 2024, 7:47 AM
• Reply to Comment

I’m glad to have the opportunity to share my journey and experiences with you all. Your kind words mean a lot to me, and I’m grateful for your support.

Let’s continue inspiring each other on this journey!

• By Sharnie Dunstall
• May 15, 2024, 4:44 PM

Sharnie, you are an inspiration to us every day and key to keeping the team together and feeling supported. Well done on such an honest piece. Thank you for everything you do.

• By Lou Peck
• May 13, 2024, 10:00 AM

Wow Lou, thank you so much for your kind words! It means the world to me.

• May 15, 2024, 4:46 PM

You wrote a really powerful post, Sharnie. In a world where fakery has become commonplace, writing that is vulnerable and authentic becomes ever more impactful. Thank you for your contribution, and it will inspire others.

• By Tim Lloyd
• May 13, 2024, 11:58 AM

Thank you so much! I really do hope it helps to inspire others.

• May 15, 2024, 4:48 PM

Sharnie, clearly you are resilient and resourceful, and a supportive colleague who makes a difference. I hope that by sharing your story to this community, you personally are feeling strengthend and supported, as you aim to help others. Congratulations on your new roll with the ALPSP SIG. There’s much to be done and that CAN be done.

• By Anne Stone
• May 13, 2024, 12:51 PM

Thank you so much for your kind words and support it really means a lot.

I’m excited about my new role with the ALPSP SIG and looking forward to seeing how it progresses, as you say there is a to be done, and can be done!

Thank you again for your encouragement!

• May 15, 2024, 4:52 PM

Really well written and informative so much help. So proud

• By Marc Ridpath
• May 16, 2024, 5:06 AM

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